Provider Demographics
NPI:1932341831
Name:DUNG BUI & JOANNE NGUYEN, DMD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DUNG BUI & JOANNE NGUYEN, DMD, A PROFESSIONAL CORPORATION
Other - Org Name:DEDICATED DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-566-5509
Mailing Address - Street 1:70 E HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-7925
Mailing Address - Country:US
Mailing Address - Phone:702-566-5509
Mailing Address - Fax:702-566-5198
Practice Address - Street 1:70 E HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-7925
Practice Address - Country:US
Practice Address - Phone:702-566-5509
Practice Address - Fax:702-566-5198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV47011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty